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Licensing details for: 2405

Name: SHAYE, MICHAEL A

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

327 W MANCHESTER BLVD
INGLEWOOD CA 90301
LOS ANGELES county
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Issuance Date

October 28, 2010

Expiration Date

February 28, 2015

Current Date / Time

June 6, 2025
2:6:18 PM

License Relationships

OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: SHAYE, MICHAEL A

License/Registration Type: Dentist License

License Number: 55502 Primary Status: Current - Active

Address :
327 W. MANCHESTER BLVD.
INGLEWOOD CA 90301
LOS ANGELES COUNTY

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